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Application for Practicum, MCOM 230

 

APPLICATION FOR PRACTICUM, MCOM 230

Department of Mass Communication

Francis Marion University

 

Student's Name______________________________________        Date ________________

Student Number_______________        SEMESTER COMPLETING MC 201_________

Local address______________________________________           Phone___________________

Home address______________________________________ Phone___________________

Semester of Practicum________    Previous Semester(s) taking Practicum ______________

Period of Practicum (begins)__________________    (ends)__________________________

Number of hours of Practicum work per week_____________

 

Host company, organization, agency

      

       Title_______________________________

      

       Address____________________________

                      ____________________________              Phone___________________

                                                                                          

       Field Supervisor (Name and Title)____________________________________________

      

       Field Supervisor contact: Phone _________________    Email address_______________

 

Description of internship (job):

           

           

 

 

Approved by:

 

Field Supervisor__________________________________________

 

            Faculty Advisor__________________________________________

 

Department Chair_________________________________________

 

 

 

 

Last Published: October 7, 2010 1:43 PM
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